SCUBA, diving into friendship with GOD
Sept 13-15, 2024
Friday: 6pm – 8:30pm
Saturday: 5pm – 8:30pm
Sunday: 10am -12 pm

If you would like to have a student picked up, please fill out the Bus Permission Form here

Please fill out an online Student Registration Form below or download to fill out here.

Please enable JavaScript in your browser to complete this form.

Child's Name *

First

Last

Child's Age, Date of Birth, Grade

ex: 5 yrs old, 01/01/2019, Pre K

Parent / Guardian *

First

Last

Parent or Guardian Email *

Home Phone (Can be Cell Phone)

Work Phone

day? at and

Prefered Contact Method *EmailHome or Cell PhoneWork Phone

Select one

Will you be attending?

• Yes
• No

Do we have permission to baptize if the occasion arises?

• Yes
• No

Do we have permission to post pictures of your child on our church social media pages?

• Yes
• No

Permissions that are selected as 'Yes' are granted by:

Please type the name of the person granting permissions

Who can pick your child up at the end of each VBS day? *

Please give Name and relationship: Ex: Jimmy Doe, Father or May Doe, Mother

EMERGENCY CONTACT INFORMATION: Name and Phone Number *

EMERGENCY INFORMATION: Allergies or Special Needs

Submit